Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 30, 2019
License(s)
MD61442745 (WA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 600 BROADWAY STE 270 | Seattle, WA 98122-5392 | 206-625-0578 |
| MAILING | PO BOX 840842 | Dallas, TX 75284-0842 | 206-625-0578 |
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